Ultram Drug Information
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Ultram is a analgesic pain reliever. Ultram affects chemicals and receptors in the brain that are associated with pain. Ultram is used to relieve moderate to moderately severe pain.

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The following Ultram information has been compiled from a variety of resources in order to give you an accurate summary of how Ultram effectively relieves pain.
 

Why is Ultram recommended by so many doctors for effective pain relief?

Doctors have found that Trmadol is a both safe and effective pain relief medication. Ultram is used to relieve moderate to severe pain. Including pain caused by surgery and chronic conditions such as cancer, joint pain i.e. arthritis pain, etc.

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How should Ultram be taken?

Ultram should be taken every 4-6 hours as needed for pain relief. Ultram may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Ultram exactly as directed.

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What precautions should be taken when using Ultram?

Prior to taking Ultram review the following precautions:

• Allergies -Tell your doctor if you have ever had any unusual or allergic reaction to Ultram or codeine or other narcotic analgesics. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
   
• Pregnancy - Ultram has not been reported to cause birth defects. However, pregnant individuals should not take Ultram secondary to the potential to harm the fetus.
   
• Breast-feeding - Ultram passes into breast milk and may cause unwanted effects in nursing babies. Mothers should stop taking Ultram while breast-feeding.
   
• Contraindications - Inform your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other pain relievers; carbamazepine (Tegretol); MAO inhibitors [phenelzine (Nardil) or tranylcypromine (Parnate)]; medications for depression; quinidine; sleeping pills; tranquilizers; and vitamins (see below).
   
• Medical Conditions - inform your physician if you have or have ever had kidney or liver disease, a history of seizures, or a history of alcohol or drug abuse, Abdominal or stomach conditions (Ultram may hide signs of these medical conditions), head injury, etc.. If you are having surgery, including dental surgery, tell your physician or dentist that you are taking Ultram.
   
• Children -There is no specific information concerning the relationship of age to the effects of Ultram in patients less than 16 years of age.
   
• Older adults - Studies in older adults show that Ultram has an increased half life (stays in the body a little longer than it does in younger adults).

Remember, Ultram may make you drowsy, do not drive a car or operate machinery while taking Ultram. Alcohol may add to the drowsiness caused by Ultram.

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Are there any drug interactions associated with the use of Ultram?

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking Ultram, inform your doctor of all prescription and nonprescription medications you may use, especially the following:

• Carbamazepine (e.g., Tegretol) - May decrease the effects of Ultram by decreasing the amount of medicine in the body
   
• Central nervous system (CNS) Anti-Depressants - (e.g., SSRI-types such as fluoxetine or fluvoxamine) using these medicines with Ultram may increase the chance of serious side effects or increase the risk of convulsions (seizures).
   
• Monoamine Oxidase (MAO) Inhibitors - (furazolidone [e.g., Furoxone], isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])—The chance of convulsions (seizures) may be increased.
   
• Neuroleptics - Chlorpromazine, Triflupromazine, Mesoridazine, Thioridazine, Acetophenazine, Fluphenazine HCl, Perphenazine, Prochlorperazine, Trifluoroperazine, Chlorprothixene, Thiothixine, Haloperidol, Loxapine, Molindone, Clozapine, Risperidone, Olanzapine, Quetiapine.
   
• Additional medications - carbamazepine, narcotic pain relievers (e.g., codeine), drugs used to aid sleep, antidepressants psychiatric medicine (e.g., nefazodone), "triptan"-type drugs, anti-anxiety drugs (e.g., diazepam), sibutramine, Digoxin, Warfarin, Coumadin. Also, report use of certain antihistamines (e.g., diphenhydramine) which are also present in many cough-and-cold products. Do not start or stop any medicine without doctor or pharmacist approval.

What if I miss a dose of Ultram?

Take the missed Ultram dose as soon as you remember it. However, if it is almost time for the next Ultram dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose of Ultram to make up for a missed one.

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How should Ultram be stored?

In order to store Ultram:

Keep out of the reach of children. Store away from heat and direct light.
Do not store Ultram tablets in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.

Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

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Important Note: The above Ultram information is intended to supplement, not substitute for, the expertise and judgment of your local doctor, pharmacist or other healthcare professional. I

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